Start Submission Become a Reviewer

Reading: 'Discover Diabetes - Type 2’: The development of a type 2 Diabetes Self-Management Education...

Download

A- A+
Alt. Display

Poster Abstracts

'Discover Diabetes - Type 2’: The development of a type 2 Diabetes Self-Management Education (DSME) course for the Irish health service

Authors:

Karen Harrington ,

Community Nutrition and Dietetic Service, National Primary Care, HSE, Ireland, IE
X close

Yvonne O'Brien,

Community Nutrition and Dietetic Service, CHO4, HSE, IE
X close

Anne Marie O'Connor,

Community Nutrition and Dietetic Service, CHO4, HSE, IE
X close

Ciara McGowan,

Community Nutrition and Dietetic Service, CHO4, HSE, IE
X close

Mary O'Sullivan,

Community Nutrition and Dietetic Service, CHO5, HSE, IE
X close

Deirdre Howlin,

Community Nutrition and Dietetic Service, CHO5, HSE, IE
X close

Freda Horan,

Community Nutrition and Dietetic Service, CHO4, HSE, IE
X close

Anne-Marie Tully,

Community Nutrition and Dietetic Service, CHO4, HSE, IE
X close

Sean Dinneen,

National Clinical Programme (NCP) for Diabetes, Galway University Hospital and National University of Ireland, IE
X close

Orlaith O'Reilly,

Office of the National Clinical Advisor and Group Lead for Chronic Disease, Strategic Planning & Transformation, HSE., IE
X close

Margaret Humphreys

Office of the National Clinical Advisor and Group Lead for Chronic Disease, Strategic Planning & Transformation, HSE., IE
X close

Abstract

Introduction: The Irish health service model of integrated care for people with type 2 diabetes (2018) recommends self-management support as a key component of care.  Those newly diagnosed require access to a dietitian/structured diabetes education package within 3 months of diagnosis, with follow-up as required.  The goal is to empower people to live healthily, reduce diabetes distress burden, improve quality of life and become active in their own care.  High quality DSME courses meet key standards, including having a defined philosophy, written curriculum and are audited.  Care via groups can be resource efficient, effective and support integrated care delivery.

Aim and methods: A national DSME group course to meet the unique needs of people with type 2 diabetes was required.  A working group of diabetes dietitians led the initiative.  Course development included definition of philosophy of dietetic/DSME care.  The evidence base for type 2 diabetes dietetic care was researched to guide curriculum content.  Dietitian and service user feedback guided the education topics selected and identified the skills and needs of Irish people to be supported.  A course curriculum, course materials and participant handbook were developed.  An audit programme was included to evaluate course impact (service user experience, attendance, clinical and psychosocial outcomes).

Highlights: A pilot one year course of 4 weekly sessions (10 hours), with 6month and one year follow-up, was designed and commenced in 2019.  12 courses were facilitated by diabetes dietitians. 189 people participated, attending 1 or more sessions of the core 4 weeks; 180 had type 2 diabetes, 8 had pre-diabetes.  Men and women were approximately equally represented, with minimum and maximum age of 34 – 87years.  Current analysis demonstrates the course design is very well received by service users regarding course materials, group sizes, number of weeks and session duration, with overwhelmingly positive comments on the course and educators.  Clinical outcomes (body weight, HbA1c) were significantly improved with course participation.  A philosophy of care for providing dietetic /DSME care to people is defined, with 9 elements, which guides the training of future educators.  Newly developed national dietetic care guidelines enable standard care provision by dietitians and other diabetes healthcare professionals. 

 

Conclusions: A national type 2 DSME group course was successfully designed, developed and delivered by diabetes dietitians to meet the needs of Irish people.  Evaluation demonstrates positive impact for people with diabetes.  Further analysis is pending.  This HSE course is developed to the highest standard in line with international recommendations. 

Implications for applicability/transferability: Developing a national DSME course facilitated integration with HSE services and supports, benefiting service users.  It provided the basis for conversion to an online course (2020-2021), now offered nationally.  The pilot supported national scale up. This framework for development can be adapted to develop self-management education for other chronic diseases.  

How to Cite: Harrington K, O'Brien Y, O'Connor AM, McGowan C, O'Sullivan M, Howlin D, et al.. 'Discover Diabetes - Type 2’: The development of a type 2 Diabetes Self-Management Education (DSME) course for the Irish health service. International Journal of Integrated Care. 2022;22(S3):435. DOI: http://doi.org/10.5334/ijic.ICIC22378
25
Views
8
Downloads
Published on 04 Nov 2022.

Downloads

  • PDF (EN)